Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Venovenous and Venoarterial Extracorporeal Membrane Oxygenation for Repeated Life Threatening Hemoptysis -A case report-

대량객혈 환자에서 사용된 정맥 정맥간 및 정맥 동맥간 체외막 산소화 장치의 적용 -1예 보고-

  • Yoo, Jae-Suk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Chung, Eui-Suk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Choi, Jin-Ho (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Lim, Cheong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Jheon, Sang-Hoon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Park, Kay-Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • 유재석 (서울대학교 의과대학 서울대학교병원 흉부외과학교실) ;
  • 정의석 (서울대학교 의과대학 분당서울대학교병원 흉부외과학교실) ;
  • 최진호 (서울대학교 의과대학 분당서울대학교병원 흉부외과학교실) ;
  • 임청 (서울대학교 의과대학 분당서울대학교병원 흉부외과학교실) ;
  • 전상훈 (서울대학교 의과대학 분당서울대학교병원 흉부외과학교실) ;
  • 박계현 (서울대학교 의과대학 분당서울대학교병원 흉부외과학교실)
  • Published : 2008.12.05
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Abstract

The use of extracorporeal membrane oxygenation in cardiopulmonary resuscitation has remarkably increased in recent times. We report here on a case of successful resuscitation with using ECMO for a patient who suffered from repeated life threatening hemoptysis. We applied both veno-venous and veno-arterial ECMO to treat this pa tient's respiratory failure and cardiac arrest, respectively. By clinically judging the different cardiopulmonary conditions of this patient, we were able to apply the appropriate types of ECMO.

최근 심각한 심기능 저하와 호흡 부전 환자의 소생술에서 체외막 산소화 장치의 이용 사례는 지속적으로 증가하고 있다. 본 증례에서는 한 환자에서 두 차례의 기관지 출혈로 인하여 호흡 부전 및 심정지가 발생하였고, 각각의 경우에 정맥 정맥간 체외막 산소화 장치와 정맥 동맥간 체외막 산소화 장치를 적절하게 적응하여 좋은 결과를 보였기에 이를 보고하고자 한다.

Keywords

References

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